RN Clinical - E Pulmonary Medicine Telemetry - Nights; Non-Exempt; Union

As an integral part of the interdisciplinary team, the Registered Nurse utilizes the nursing process to provide therapeutic care to patients. The Registered Nurse is accountable for the coordination of patient care and education to the patient and family in accordance with the standards, policies, and practices in a compassionate, supportive, and therapeutic environment.

• Follows policies and procedures; demonstrates ability to access online manuals.
• Transfers learned scientific knowledge into practical application in applying the Nursing Process.
• Appropriately completes Nursing Assessment upon patient admission, at each shift and with change of condition; completes patient acuity by 0200/1400 daily.
• Interprets assessment information and formulates Nursing Diagnoses.
• Develops Plans of Care with individualized interventions, documents expected/projected patient outcomes, and reviews/revises/updates Plans of Care daily based on evaluation and interpretation of patient outcomes.
• Administers medication and IV therapy appropriately at prescribed intervals; completes patient care procedures correctly per policy at prescribed intervals.
• Delegates tasks based on others’ scope of practice and competency; acts as patient advocate.
• Manages restraint use per policy, attempts alternative non‑restraint measures first, and ensures MD order per policy; ensures MD assessment and patient monitoring per policy.
• Ensures Restraint Audit Form is completed each shift.
• Maintains complete and correct documentation on all flow sheets and chart forms:
  Admission Assessment, Pain scale assessment and reassessment before and after intervention, Daily flow sheet, Restraint flow sheet, Diabetes flow sheet, Educational flow sheet, Kardex Care Plan, Risk Assessment & Reassessment upon Fall, MAR Equipment & Supplies, Intra and Inter Facility Transfer Forms, Belonging Tracking Form; transcribes and signs off orders prior to the end of the shift; completes 12h/24h chart checks.
• Provides patient/family education as needed:
  Room/unit orientation, Plan of Care, identifies knowledge deficits related to diagnoses and care, uses and provides MICROMEDEX information to patients and families.
• Collaborates with Case Manager and/or physician regarding discharge planning; ensures all transfer paperwork is completed and belongings are sent with patient.
• Utilizes patient care equipment appropriately and safely according to manufacturer guidelines: IV pump, Feeding pump, PCA pump, Epidural pump, Sequential compression device, Wound VAC, Heating pad/pump.
• Communicates effectively with all members of the healthcare team including patient and family:
  Shift to shift report, Physician Rounds, Patient/family interactions, MDP Rounds, Hand-Off reports, Facility e‑mail, Student/New employee/Contract employee.
• Manages time effectively, organizes and prioritizes responsibilities, takes meal breaks without incurring overtime, and completes shift on time.
• Observes regulatory agency requirements:
  National Patient Safety Goals, patient identifiers, unapproved abbreviations, Universal Protocol (Procedural Time Out), hand‑off medication reconciliation, clinical alarms, hazardous waste management, biohazard, medication sharps, HIPAA, OSHA, JCAHO continuous survey readiness, correct body mechanics, electrical safety, infection control procedures, hand washing.
• Manages the care of medical‑surgical patients (e.g., THA, TKA, spinal surgery, cystic fibrosis, abdominal organ transplants, hepatic encephalopathy).
• Manages the care of patients in the intensive care unit/step‑down/telemetry units, including advanced therapeutic modalities (hemodynamic monitoring, CRRT, CVVHD, ventilator care, arterial/CVP lines, ventricular assist devices, balloon pumps, lumbar drains).
• Initiates, performs and terminates dialysis treatments according to policy, reviews orders and labs, informs patient, performs safety checks and machine maintenance, and coordinates treatment orders.
• Engages psychiatric patients in therapeutic interactions, maintains therapeutic milieu, assesses and monitors patient safety (contraband assessment, contraband logs), administers psychotropic medications…